Journal ArticleDOI
3 The Cochrane Library
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The specialty of obstetrics and gynaecology will benefit from several related groups already working within the Cochrane Collaboration, and it is hoped that the ‘wooden spoon’ can be discarded from the authors' ranks for good.Abstract:
Summary In the current era of patients seeking better information, managers seeking cost-effective treatments, clinicians struggling to keep up with the expanding medical literature, and professional groups requiring continuing medical education, there is a clear need for up-to-date and relevant systematic reviews of the effectiveness of treatment within our specialty. Such reviews will play an increasing role in the education of health professionals and lay people, in the evolution of the health service and in the direction of future research. The Cochrane Collaboration provides the infrastructure for the development and dissemination of these reviews. The specialty of obstetrics and gynaecology will benefit from several related groups already working within the Cochrane Collaboration (Pregnancy and Childbirth, Subfertility, Menstrual Disorders and Incontinence). Other groups are in the process of, or likely to, register in the near future (Fertility Control, Gynaecological Cancer). However, the need and demand for a large number of systematic reviews exceeds the current capacity of those who have committed themselves to prepare and maintain such reviews, and substantial challenges remain. However, there is every reason to believe that a concerted effort over many years will be worth while. Earlier in this commentary, obstetrics and gynaecology was referred to as the specialty most deserving of the ‘wooden spoon’ for its lack of evidence-based practice. With the development of various gynaecological groups within the Collaboration, we hope that the ‘wooden spoon’ can be discarded from our ranks for good.read more
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References
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Book
Evidence-Based Medicine: How to Practice and Teach EBM
TL;DR: This chapter discusses how to ask clinical questions you can answer and critically assess the evidence for evidence-based medicine, as well as 7 Rapid Reference Cards used in clinical practice.
Journal ArticleDOI
A controlled trial of antepartum glucocorticoid treatment for prevention of the respiratory distress syndrome in premature infants
G. C. Liggins,R. N. Howie +1 more
TL;DR: Preliminary evidence justifies further trials, but that further work is needed before any new routine procedure is established, as there may be an increased risk of fetal death in pregnancies complicated by severe hypertensionedema-proteinuria syndromes and treated with betamethasone.
Journal ArticleDOI
Systematic Reviews: Identifying relevant studies for systematic reviews
TL;DR: Although the indexing terms available for searching Medline for randomised clinical trials have improved, sensitivity still remains unsatisfactory.
Book
Effectiveness and Efficiency: Random Reflections on Health Services
TL;DR: The National Health Service Evaluation of evidence Effectiveness and efficiency Illustrative examples A preliminary evaluation Equality in the health services Conclusions Summary Postcript References Some reflections Obituary.
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A comparison of results of meta-analyses of randomized control trials and recommendations of clinical experts. Treatments for myocardial infarction.
TL;DR: Finding and analyzing all therapeutic trials in a given field has become such a difficult and specialized task that the clinical experts called on to summarize the evidence in a timely fashion need access to better databases and new statistical techniques to assist them.